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Organization
SPRUCE MEDICAL CENTER
Active
Organization
SPRUCE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD W. JOHNSON D.O. (MEDICAL DIRECTOR)
(215) 471-2780
Entity
Organization
Contact information
Practice address
5046 SPRUCE ST, PHILADELPHIA, PA 19139-4115
(215) 471-2780
(215) 471-5201
Mailing address
5046 SPRUCE ST, PHILADELPHIA, PA 19139-4115
(215) 471-2780
(215) 471-5201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS00215OL
PA
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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